4/17/2023 0 Comments Tribler 2018![]() Thereby, according to CDC/ESPEN CRBSI definitions, the incidence was 0.92/1000 days or 46% lower than clinically assessed. In 20% of all episodes, missing information/blood cultures hampered a CDC/ESPEN CRBSI diagnosis. In 53%, CRBSIs were categorized as a clinical or “probable CRBSI” diagnosis. Employing a catheter-salvaging strategy, 40% of the CRBSI diagnoses were supported by the paired blood culture positivity criteria and only 6% by a positive catheter tip. However, based on the microbiological evaluation, only 47% of our episodes fulfilled the Centers for Disease Control and Prevention (CDC) and European Society for Clinical Nutrition (ESPEN) CRBSI criteria. Thus, the clinically assessed CRBSI incidence was 1.95/1000 catheter-days. Results: Clinically, 1034 CRBSIs were observed in 548 adults receiving HPN for 1410 catheter-years. Materials and Methods: In an observational study based on the Copenhagen intestinal failure database, all clinically reported CRBSIs from 2002–2013 were compared with data from the affiliated microbiological database according to recommended CRBSI criteria. This study aimed to illustrate how the use of different CRBSI definitions affects the reported incidence. ![]() The CRBSI incidence has been advocated as an outcome parameter assessing the quality of care. Background: A common complication in patients receiving home parenteral nutrition (HPN) is catheter-related bloodstream infections (CRBSIs). ![]()
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